Form ID

Publication date

Location of premises

Certificate

Cold Storage Building.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ministry of Natural Resources.
Address of Owner
Suite 221, 435 S. James St., Thunder Bay, ON
Name of Contractor
Kamphof Construction
Address of Contractor
R.R. #5, Thunder Bay, ON P7C 5M9
Name of Certifier
Glenn R. Gorrie.
Address of Certifier
PO Box 252, Kakaberka Falls, ON P0T 1W0

Office to which claim for lien must be given to preserve lien

Ministry of Natural Resources - Ontario.